Abstract

SOTO-LOPEZ, Susana; GONZALEZ-MONTENEGRO, Karen Isabel  and  ZAMORA-LOPEZ, Cinthya. Abdominal ectopic pregnancy at 23 weeks prime pregnant. Case report. Medicas UIS [online]. 2022, vol.35, n.3, pp.27-33.  Epub Apr 17, 2023. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v35n3-2022003.

Abdominal ectopic pregnancy is a rare pathology, it is expressed by a pregnancy with implantation inside the abdominal cavity and outside the uterus and its annexes, being specifically the least frequent of ectopic pregnancies, representing 1% of cases. When it occurs, the maternal-fetal mortality rate is high1. The diagnosis requires a high degree of suspicion, due to regular menstrual bleeding may be present. It is a medical emergency with serious complications such as obstetric hemorrhage. We present the case of a prime pregnant patient with abdominal ectopic pregnancy in the second trimester with definitive surgical management, and subsequent maternal evolution favorable to post-surgery, however, with adverse perinatal outcome for the newborn. The importance of this case lies in its timely diagnosis, by which it was possible to avoid complications that put the patient's life at risk.

Keywords : Ectopic pregnancy; Abdominal pregnancy; Ultrasound; Perinatal death; Hemorrhage.

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